COOPERATION WITH BILLING: I understand that although Five Rivers Health Centers may assist me in doing so, I am solely responsible for compliance with the provisions of my insurance policy, including verifying coverage and obtaining any required pre-admission certification. I agree to cooperate fully with Five Rivers Health Centers in billing my insurance and any other third-party payer, including, but not limited to, promptly responding to requests for information from Five Rivers Health Centers, or any insurer or other third-party payer. I also understand that in order to receive any financial assistance in paying my bill, I must promptly and truthfully complete all required applications, provide requested supporting documentation and fulfill all other requirements of the assistance program. I agree that my failure to cooperate in these matters may result in the denial of benefits or assistance. If any insurer or other third-party payer denies payment of Five Rivers Health Centers claim; I will promptly pursue all appeals processes available to me. I also authorize Five Rivers Health Centers to appeal such denial on my behalf. I agree, in order for Five Rivers Health Centers to service my account or to collect any amounts I may owe, Five Rivers Health Centers may contact me by telephone at any telephone number associated with my account, including wireless telephone numbers, and may also contact me by sending text messages or e-mails, using any e-mail address I provide to use which could result in charges to me. Methods of contact may include using pre-recorded/artificial voice messages and/or use of an automatic dialing device, as applicable.